Last date of submission of Exam.

form :- 15-12-2010
Directorate, Research and Extension
Kumaun University, Nainital

Examination form of Pre-Ph-D Course Work, 2010

Subject Paper-III Roll No.
Subject Pass port size
specialization Photograph

Name:
Father'/Husband's Name:
Mother's Name:
Enrollment No.:
Study/Course centre:
Date of Birth:
Educational Qualification:
Exam. Passed Subjects Board/University Year % of marks

High School
Inter mediate
Graduation
Post Graduation
Other

Note:- Please attach mark sheet of Qualifying Examination

Mailing Address:-
……………………………….
……………………………….
……………………………….
……………………………….

Signature of candidate
Detail of Fee deposited Draft no Bank Date

Course fee Rs.1500/- and Exam Fee Rs.1500/- (Total Rs.3000/-)

(Bank Draft be made in Favour of Finance Officer, Kumaun Unviersity, Nainital)
Certified that Mr/Mrs/Ms…………………….. has attended the classes of pre Ph.D Course Work,
His/Her attendance in the classes is………% up to the last date of Submission of Examination form.
He/She fulfils/does not fulfill the required attendance as per the Ph.D. ordinance.

Head
……………………
……………………
Seal
Forwarded:

Dean/Principal
……………………
……………………
Seal
 Verification-Form

Roll No. Subject Paper-III Subject

Specialization Pass port size
Photograph

Examination Centre: D.S.B. Campus, Nainital

Name:
Father's/Husband's name:
Enrollment No.:
Date and day Paper/Subject Signature of the Signature of the
candidate Invigilator

Signature of Sr. Supd.

Admit Card

Roll No. Subject Paper-III Subject

Specialization Pass port size
Photograph

Examination Centre: D.S.B. Campus, Nainital

Name:
Father's/Husband's name:
Enrolment No.:

Director, R&E

Note:- Admit cards will not be send by post. The candidates are required to collect their
admit cards one hour before the commencement of the examination from the centre.